CHILD CARE GRANT SPRING 2016, SUMMER 2016

Transcription

1 1130 Women s Resource /Returning Adult Program Lansing Community College P. O. Box Lansing, Michigan Phone: (517) Fax: (517) wmnrsrc@lcc.edu CHILD CARE GRANT SPRING 2016, SUMMER 2016 PURPOSE: The Child Care Grant is designed to provide eligible custodial parents with child care funding assistance while the parent is attending Lansing Community College. The grants are based on the criteria listed below and provide partial payment of licensed child care services for the recipients. GRANTS: Grants are dependent on the number of applications received and the availability of funds. Specific grant amounts are determined by the number of credits for which the student enrolls. The child(ren) must be in licensed child care during the time the parent is in class in order to be eligible for assistance. ELIGIBILITY: The family s gross income must not exceed: $25,000 self with one dependent $27,000 self with two dependents $29,000 self with three dependents $31,000 self with four dependents Add $ 2,000 for each additional dependent APPLICATION DEADLINE DATES All applications for the Child Care Grant are to be submitted to the WR/RAP office. You are advised to turn in your application as soon as possible. DO NOT WAIT FOR THE FINAL DEADLINE. THOSE WHO APPLY FIRST MAY BE SERVED FIRST. **************** DEADLINE DATES: Fall Semester June 15 Spring Semester November 15 Summer Session April 15 If the deadline falls on the weekend, applications will be accepted the following Monday until closing. Call (517) for office hours since hours of operation may vary. **************** Receipt of this grant for one semester does not guarantee its continuance in subsequent semesters and is dependent upon availability of funds. The members in the family who are claimed on the income tax return or children for whom you have custody or joint custody are considered dependents. If married and living in the same home, spouse should be counted as a dependent. If your family s gross income exceeds these income guidelines, you may be eligible for other types of financial assistance. All applications must be completed and received by the Women s Resource/Returning Adult Program (WR/ RAP) by the deadline date. No exceptions will be made. All applications must have complete information about the child care provider, including the CHILD CARE LICENSE NUMBER. If you need assistance in finding a provider, visit the website of Greater Lansing for Kids at The REQUIRED proof of income and custody must be attached. A

2 ********************************************************************************************************** CONFIDENTIAL FINANCIAL STATEMENT: Proof of current family gross income must be attached when you file this application: current paycheck stubs or document from employer stating year-to-date salary, letter from Friend of the Court, Department of Human Services, or Social Security. IF APPLICATION IS NOT COMPLETE BY THE DEADLINE, APPLICANT WILL BE INELIGIBLE FOR THIS GRANT. *********************************************************************************************************** LIMITATIONS AND CONTINUATION OF GRANT: 1. All grants will be made on a one-semester-only basis. Eligibility does not guarantee a grant and is dependent on availability of funds. 2. A recipient must be enrolled and attending an LCC class during the time that a child, in child care, is supported by the grant. 3. A student may be eligible for child care assistance for one semester regardless of past academic performance. Students who fail to earn a 2.0 or higher in each course while receiving this grant may be ineligible or may receive a child care grant for a limited number of credits. Drops after the 100% refund time period, Withdrawals ("W"), Incompletes ("I"), and lack of a satisfactory completion rate may affect subsequent eligibility. No Repeat ("R") courses will be funded unless approved by a staff member. 4. The grant funding must be used for child care at a licensed child-care home or child-care center. 5. If you receive child care assistance from any other source such as DHS, city scholarships, etc., you must use those funds first. If you have unmet child care needs, the WR/RAP may be able to assist you if you meet all eligibility criteria for the Child Care Grant. 6. This grant is designed to assist students in obtaining their educational/occupational goals. LCC courses taken toward a certificate or associate degree, joboriented courses, those taken for transfer, and other courses as approved are eligible for child care assistance. Recreational courses will be limited to one per semester. 7. This grant is limited to 12 credits (6 credits in the Summer) unless the student's curriculum requires more. Fewer than 12 (or 6) credits may be taken. ACCOUNTING AND ADMINISTRATION CONCEPTS: 1. No funds will be given directly to recipients of the Child Care Grants. Checks will be made out by Lansing Community College and sent directly to the approved child care provider with the recipient's name as the second endorser. 2. Please note that the check must be signed by both the recipient of the grant and the child care provider. 3. No monies may be given to the recipient by the child care provider unless money is owed back to the recipient who paid in advance. If you have any questions about this grant, please contact the WR/RAP at (517) Drop off application to: Women s Resource/Returning Adult Program LANSING COMMUNITY COLLEGE Gannon Building Campus Resources Mail application to: WR/RAP Lansing Community College P.O. Box Lansing, MI Call to verify receipt Fax applications to: OR OR WR/RAP Include your full name. Call to verify receipt. B

3 SPRING 2016, SUMMER 2016 APPLICATION FOR CHILD CARE GRANT WOMEN'S RESOURCE /RETURNING ADULT PROGAM LANSING COMMUNITY COLLEGE NAME: PREVIOUS NAME AT LCC: ADDRESS: CITY: ZIP: SOCIAL SECURITY #: STUDENT NUMBER: CURRICULUM: DATE OF BIRTH: PHONE HOME: ( ) - check box if we should NOT call WORK: ( ) - check box if we should NOT call HAVE YOU APPLIED FOR THIS GRANT BE- FORE? ADDRESS: INDICATE MARITAL STATUS: Single/never married Divorced Married Widowed Separated * * * * * * * * * * * * * * * * * * * * If you are married, identify the reason your spouse is unable to provide child care for your child: Are you presently employed? How many hours per week are you working? * * * * * * * * * * * * * * * * * * * * FINANCIAL AID INFORMATION: Attach proof of eligibility and amount. 1. Have you received this child care grant before? WHEN? 2. Do you receive assistance from any of the following? Women s Resource Foundation Grant. Single Parent, Displaced Homemaker, Non-Traditional Career and Special Populations Grant. Pell. Other. Describe: 3. ARE YOU RECEIVING CHILD CARE ASSISTANCE FROM ANY OTHER SOURCE? DHS OTHER AMOUNTS:$ 1

4 Must have state-licensed child care provider on application! A state-licensed child care provider has a license number that is two letters followed by nine numbers. INFORMATION ON LICENSED CHILD CARE PROVIDER--ALL OF THIS INFORMATION MUST BE COMPLETED BY THE DEADLINE DATE. If you need assistance in finding a provider, visit the website of Greater Lansing for Kids at as soon as possible and have your provider chosen before the deadline. NAME: PHONE: ADDRESS: CITY: ZIP: PROVIDER'S CHILD CARE LICENSE NUMBER: (THIS IS TWO LETTERS FOLLOWED BY NINE NUMBERS) FEE CHARGED $ DAILY HOURLY WEEKLY PROVIDER'S WORK DAYS AND HOURS: If you have a school-age child, identify below the hours that he/she will be in school: DOCUMENTATION REQUIRED! PLEASE LIST ALL DEPENDENTS: If you are married and living in the same home, list spouse. You must provide either Child s Medicaid card, court ordered custody papers OR any TWO pieces of documentation from the examples below for each dependent child. PUT X IN BOX FOR CHILDREN NEEDING CHILDCARE. Divorce Papers Child Support Documentation WIC booklet showing child s name DHS assistance showing child s name Immunization Record School Record Birth Certificate Social Security card Spouse s name: List Children s names and date of birth 2

5 DOCUMENTATION REQUIRED! CHECK ALL SOURCES OF INCOME. INDICATE DOLLAR AMOUNT AND IF IN- COME IS WEEKLY, BI-WEEKLY, OR MONTHLY. YOU MUST ATTACH CURRENT PROOF OF INCOME FOR EACH SOURCE YOU RECEIVE. Income tax forms are not acceptable. Report gross income (before taxes). Applicant's employment $ (circle one: weekly/bi-weekly/monthly) Must provide copies of recent check stubs. Spouse's income $ (circle one: weekly/bi-weekly/monthly) Must provide copies of recent check stubs. Child support received $ (circle one: weekly/bi-weekly/monthly) Must provide recent check stubs, account summary, or court order, or bank statement indicating child support deposit. Alimony received $ (circle one: weekly/bi-weekly/monthly) Must provide recent check stubs, account summary, or court order, or bank statement indicating alimony support deposit. Food Assistance $ Must provide copy of EBT/Bridge card or a letter from DHS detailing eligibility, or a statement from your online account. DHS Cash Assistance $ Must provide letter from DHS detailing amount of cash benefit or a statement from your online account. Medicaid Must provide copy of Medicaid cards or letter from DHS detailing eligibility. Social Security $ Must provide letter from Social Security Administration detailing amount receiving or recent check stub. Unemployment compensation $ Must provide letter from Unemployment Agency detailing amount receiving and weeks of benefits. Family/friend s assistance. Must provide letter from family/friend (include name, current date, name of student being assisted, description of assistance and signed). Housing/Public/Section 8 Subsidy Must provide documentation detailing amount of rental assistance either from the Housing Commission or your landlord. Other $ Describe: Examples may be student loans, tax returns, in-home business, etc. 3

6 Check your application! Did you provide your provider information? Did you provide documentation? Please sign below to verify that you agree to the conditions and responsibilities of this award and that you assume responsibility for knowing Lansing Community College policies. 1. If I drop a course, my grant will be decreased accordingly. 2. The check will be made out to the licensed child care provider indicated above and myself and sent directly to the child care provider. 3. I will only receive assistance for approved classes taken on a credit basis, not classes taken on an audit basis. 4. I will maintain a minimum of a 2.0 in each class. 5. I understand that the child care assistance funds are limited and may not be available in subsequent semesters. 6. The WR/RAP will request progress reports from my instructors. 7. I will report any changes in income, marital status. I give permission to the WR/RAP at Lansing Community College to have access to my enrollment, Financial Aid, skill level scores, academic progress and grade information. I do hereby give permission to the staff of the WR/RAP to release information pertaining to my child care grant, enrollment, and class schedule to my licensed child care provider, and to the DHS. ************************************* I hereby acknowledge that the information submitted herewith is true and correct and understand the conditions as stated in the application and the cover sheet. SIGNATURE DATE Funds are made available by Lansing Community College. Lansing Community College does not discriminate on the basis of race, religion, age, national origin, sex, marital status, color, height, weight, handicap or sexual orientation in its employment, educational programs or activities. If you feel you have been discriminated against, contact the Human Resources Department at (517)